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SIERRA PEMBROKE MS
NPI 1053293803
Counselor - Mental Health in Barre, VT

Active since July 23, 2025PECOS Enrolled
23 SUMMER ST, BARRE, VT 05641(802) 479-4055(802) 661-5699 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 16, 2026, Nov 13, 2025 (2 updates tracked since 2025).

About Sierra Pembroke Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SIERRA PEMBROKE MS (NPI 1053293803) is an individual mental health provider in Barre, Vermont, licensed in Vermont (068.0137112) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Montpelier, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1053293803
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSIERRA PEMBROKECredential: MS
Location Address23 SUMMER STBarre, VT 05641-3741
Mailing AddressPo Box 647Montpelier, VT 05601-0647 · (802) 479-4055 · Fax (802) 661-5699
Phone(802) 479-4055
Fax(802) 661-5699
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 23, 2025
Last NPPES UpdateMarch 16, 20262 updates tracked since enumeration
NPPES CertifiedMarch 16, 2026
✔ NPI 1053293803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in VT · 068.0137112
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 097.0134963 (VT)
23 SUMMER ST, Barre, VT 05641
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Secondary Practice Location 1

Location 134 Barre StMontpelier, VT 05602-3510 · Phone (802) 301-3200 · Fax (802) 223-0842

Other Identifiers 2

Medicaid6722978VT
Medicaid6721318VT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sierra Pembroke Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123598117
PECOS Enrollment IDI20260601000844
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH WINCHELL
Case Manager/Care Coordinator
23 SUMMER ST
BARRE, VT 05641
Washington County (802) 479-4055
KAITLYN NASCIMENTO MA
Student in an Organized Health Care Education/Training Program
23 SUMMER ST
BARRE, VT 05641
Washington County (802) 479-4055
HEATHER A. HOULE
Case Manager/Care Coordinator
23 SUMMER ST
BARRE, VT 05641
Washington County (802) 479-4055
RILEY L. GAMACHE BS
Case Manager/Care Coordinator
23 SUMMER ST
BARRE, VT 05641
Washington County (802) 479-4055
JOSHUA M. WALTON BFA
Student in an Organized Health Care Education/Training Program
23 SUMMER ST
BARRE, VT 05641
Washington County (802) 479-4055
AMBER L. BARCLAY MSW
Student in an Organized Health Care Education/Training Program
23 SUMMER ST
BARRE, VT 05641
Washington County (802) 479-4055
AUSTIN KELLEY
Case Manager/Care Coordinator
23 SUMMER ST
BARRE, VT 05641
Washington County (802) 479-4055
GABRIELLA ELMOUSSAOUI MA
Student in an Organized Health Care Education/Training Program
23 SUMMER ST
BARRE, VT 05641
Washington County (802) 479-4055

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sierra Pembroke's NPI number?

The NPI number for Sierra Pembroke is 1053293803. It was assigned to this individual provider in the NPPES registry on July 23, 2025.

Where is Sierra Pembroke located?

Sierra Pembroke practices at 23 Summer St, Barre, VT 05641. The listed phone number is (802) 479-4055.

What is Sierra Pembroke's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Sierra Pembroke enrolled in Medicare?

Yes. Sierra Pembroke is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sierra Pembroke was last updated on March 16, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.